| NPI | 1952778482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415945) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10152) |
| 1223G0001X Dentist, General Practice (Licence: TN 10152) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2018-12-05 |